ABSTRACT
There was the technique elaborated for the revascularized transplantation of the omentum majus flap on myocardium, upper extremity and brain. There were performed 26 operations of nondirect revascularization of myocardium, 3--of microsurgical transplantation on upper extremity and 3--on the brain.
Subject(s)
Arm/blood supply , Arm/surgery , Cardiac Surgical Procedures/methods , Carotid Arteries/surgery , Neovascularization, Physiologic/physiology , Neurosurgical Procedures/methods , Omentum/transplantation , Humans , Microsurgery/methodsABSTRACT
Anatomo--morphological peculiarities of greater omentum (GO) in 63 patients, in whom its flap was applied for revascularization of ischemized tissues of extremities, myocardium and the brain, were studied up. Microsurgical transplantation of the GO free flap was performed in 41 patient, omentocardiopexy without the break of the GO vascular pedicle--in 22. Possibilities of the GO application for the ischemized organs revascularization were estimated.
Subject(s)
Brain/blood supply , Brain/surgery , Coronary Vessels/surgery , Extremities/blood supply , Extremities/surgery , Ischemia/surgery , Omentum/transplantation , Humans , Neovascularization, Physiologic/physiologyABSTRACT
Of 230 patients, examined by coronarography, in 219 the signs of the ischemic heart disease were revealed. The criterions were elaborated for differentiated choice of the myocardial revascularization method.
Subject(s)
Myocardial Ischemia/diagnosis , Myocardial Ischemia/surgery , Myocardial Revascularization/methods , Angiography/methods , Female , Humans , MaleABSTRACT
The optimally adjusted doses of phinoptin, cordarone and cordypin were applied as the preoperative preparation complex in 30 ischemic heart disease patients with the stress angina pectoris of the II-IV functional class. It promoted the total blood peripheral resistance decrease, pre- and postload lowering, the contractile myocardial function increase, the pain syndrome abolition, and permitted to prepare the patients effectively for the aortocoronary shunting operation.